178 PRACTICE OF PHYSIC. 



a full pulse, and a considerable swelling of the tonsils, bleeding 

 is very proper, especially in adults ; and it has been frequently 

 practised with advantage : but as, even in the Cynanche ton- 

 sillaris, much bleeding is seldom necessary (CCCV.) ; so, in 

 the Scarlatina, when the state of the fever and the appearances 

 of the fauces render the nature of the disease ambiguous, bleed- 

 ing may be omitted ; and, if not altogether avoided, it should 

 at least not be large, and ought not to be repeated. 



DCLXI. Vomiting, and especially nauseating doses of 

 emetics, notwithstanding the inflamed state of the fauces, have 

 been found very useful in this disease. An open belly is pro- 

 per in every form of this disease ; and when the nauseating 

 doses of emetics operate a little downwards, they are more 

 serviceable. 



DCLXII. In every form of the Scarlatina anginosa, 

 through the whole course of it, detergent gargles should be 

 employed, and more or less as the quantity of sloughs and the 

 viscid mucus in the fauces may seem to require. 



DCLXII I. Even in the milder states of the Scarlatina 

 anginosa, it has been common with practitioners to exhibit the 

 Peruvian bark through the whole course of the disease ; but 

 we are assured, by much experience, that in such cases it may 

 be safely omitted, though in cases anywise ambiguous it may 

 not be prudent to neglect this remedy. 



DCLXIV. The anasarcous swelling, which frequently fol- 

 lows the ^Scarlatina anginosa, seldom requires any remedy ; 

 and, at least, the purgatives so much inculcated, and so com- 

 monly exhibited, soon take off the anasarca. 



CHAP. V. OF THE PLAGUE. 



SECT. I. OF THE PHENOMENA OF THE PLAGUE. 



DCLXV. The plague is a disease which always arises from 

 contagion ; which affects many persons about the same time ; 

 proves fatal to great numbers ; generally produces fever ; and, 

 in most persons, is attended with buboes or carbuncles. 



